First Name
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Last Name
*
Do you have low back pain or a history of low back pain?
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Yes
No
Sometimes
What have you tried in the past to treat your low back pain?
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Physical Therapy
Chiropractic
Cortisone Injections
Advil / Anti-inflammatory
Yoga / Stretching
Of everything that you've tried what has been the LEAST helpful?
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What are you hoping to learn from this workshop?
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Submit!